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NPI Code Detail

MEDICARE: MICHELLE JONEN HUNDLEY

MEDICARE: MICHELLE JONEN HUNDLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN257851LPA

General Provider Information

NPI Number : 1396946133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE JONEN HUNDLEY
Provider Business Mailing Address
First Line : 109 N 54TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-2617
Country : US
Telephone Number : 215-471-3123
Fax Number :
Provider Business Practice Location Address
First Line : 2250 HICKORY RD
Second Line : SUITE 240
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1047
Country : US
Telephone Number : 610-834-1122
Fax Number : 610-834-7525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 04/23/2026

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Directions to “ MICHELLE JONEN HUNDLEY ” Practice Location

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